NPIMap

Organization Active NPI

Special Smiles Pediatric Dentistry

  • Dental Clinic/Center
  • Zionsville, IN
National Provider Identifier
1386935203
Registry record updated Apr 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
12009492A Issued in IN
Legal business name
SPECIAL SMILES PEDIATRIC DENTISTRY
Practice address
10801 N Michigan Rd
Suite 210
Zionsville, IN 46077-8170
Phone
(317) 873-3448
Fax
(317) 873-3425
NPI assigned
Apr 26, 2011
Last updated
Apr 26, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Jennifer Louise Satterfield-Siegel, D.D.S.NPI 1386759652
Title
Ceo/Pediatric Dentist
Phone
(317) 873-3448

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 12009492A IN Primary

Addresses

Primary practice location

10801 N Michigan Rd
Suite 210
Zionsville, IN 46077-8170

Mailing address

10801 N Michigan Rd
Suite 210
Zionsville, IN 46077-8170
Phone (317) 873-3448

Other names 1

  • Pediatric and Special Care Dentistry of IN Other name

National Provider Directory

National Provider Directory

Locations

10801 N Michigan Rd
Ste 210
Zionsville, IN 46077
Phone (317) 873-3448

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1303776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303776000000",
    "number": "1386935203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10801 N MICHIGAN RD",
            "address_2": "SUITE 210",
            "city": "ZIONSVILLE",
            "state": "IN",
            "postal_code": "460778170",
            "telephone_number": "317-873-3448",
            "fax_number": "317-873-3425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10801 N MICHIGAN RD",
            "address_2": "SUITE 210",
            "city": "ZIONSVILLE",
            "state": "IN",
            "postal_code": "460778170",
            "telephone_number": "317-873-3448",
            "fax_number": "317-873-3425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIAL SMILES PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-26",
        "last_updated": "2011-04-26",
        "status": "A",
        "authorized_official_last_name": "SATTERFIELD-SIEGEL",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "CEO/PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "317-873-3448",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IN",
            "license": "12009492A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatric and Special Care Dentistry of IN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Zionsville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.